| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
1,248,173 |
948,888 |
$115.81M |
| 99285 |
|
158,886 |
130,232 |
$112.66M |
| 99284 |
|
242,485 |
202,899 |
$95.16M |
| 99283 |
|
231,095 |
202,783 |
$53.94M |
| J2350 |
Injection, ocrelizumab, 1 mg |
2,277 |
1,903 |
$41.48M |
| J9271 |
Inj pembrolizumab |
6,184 |
4,226 |
$30.85M |
| 96374 |
|
138,750 |
111,516 |
$18.58M |
| 96413 |
|
84,180 |
47,252 |
$16.87M |
| J1459 |
Inj ivig privigen 500 mg |
15,602 |
5,346 |
$16.81M |
| 42820 |
|
3,124 |
2,942 |
$15.57M |
| U0003 |
Cov-19 amp prb hgh thruput |
230,246 |
187,597 |
$15.16M |
| J1745 |
Infliximab not biosimil 10mg |
7,958 |
5,726 |
$14.80M |
| 95004 |
|
4,951 |
4,349 |
$13.21M |
| 97110 |
|
178,678 |
69,004 |
$12.05M |
| J9299 |
Injection, nivolumab |
3,908 |
2,180 |
$11.48M |
| J2357 |
Omalizumab injection |
8,650 |
4,467 |
$10.58M |
| 93306 |
|
31,253 |
28,349 |
$8.57M |
| J9312 |
Inj., rituximab, 10 mg |
2,754 |
1,495 |
$8.47M |
| J2323 |
Natalizumab injection |
2,040 |
1,729 |
$8.13M |
| 96365 |
|
60,298 |
41,976 |
$7.70M |
| J9144 |
Daratumumab, hyaluronidase |
2,727 |
1,551 |
$7.69M |
| J2505 |
Injection, pegfilgrastim 6mg |
3,437 |
2,233 |
$7.61M |
| 99282 |
|
51,168 |
46,484 |
$7.17M |
| J0585 |
Injection,onabotulinumtoxina |
16,002 |
9,394 |
$7.06M |
| S9480 |
Intensive outpatient psychia |
62,104 |
7,825 |
$6.88M |
| 99291 |
|
8,065 |
7,217 |
$6.69M |
| 71046 |
|
131,644 |
114,469 |
$6.57M |
| 74177 |
|
46,446 |
42,002 |
$6.30M |
| 45380 |
|
8,168 |
7,561 |
$6.07M |
| 95810 |
|
7,603 |
7,016 |
$6.00M |
| 77386 |
|
23,963 |
1,597 |
$5.89M |
| J0490 |
Belimumab injection |
4,354 |
1,974 |
$5.70M |
| 96360 |
|
41,549 |
33,454 |
$5.53M |
| 47562 |
|
1,303 |
1,218 |
$5.50M |
| 93303 |
|
12,536 |
10,572 |
$5.26M |
| Q5107 |
Inj mvasi 10 mg |
7,413 |
2,475 |
$5.10M |
| 59025 |
|
32,174 |
16,196 |
$5.09M |
| 96361 |
|
98,749 |
74,288 |
$4.97M |
| 44970 |
|
986 |
916 |
$4.61M |
| 70553 |
|
22,273 |
20,235 |
$4.51M |
| 43239 |
|
10,671 |
9,816 |
$4.47M |
| J2353 |
Octreotide injection, depot |
1,472 |
1,186 |
$4.43M |
| 96375 |
|
114,091 |
79,489 |
$4.40M |
| J9035 |
Bevacizumab injection |
2,503 |
942 |
$4.37M |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
1,016 |
888 |
$4.29M |
| 92587 |
|
17,211 |
15,365 |
$4.15M |
| J9022 |
Inj, atezolizumab,10 mg |
1,335 |
849 |
$4.01M |
| U0005 |
Infec agen detec ampli probe |
191,595 |
155,260 |
$3.99M |
| J0897 |
Denosumab injection |
5,714 |
4,678 |
$3.99M |
| 71260 |
|
19,116 |
17,291 |
$3.79M |
| 78815 |
|
5,614 |
5,106 |
$3.78M |
| J3380 |
Inj vedolizumab iv 1 mg |
857 |
768 |
$3.69M |
| Q5121 |
Inj. avsola, 10 mg |
2,690 |
2,146 |
$3.57M |
| 76705 |
|
34,076 |
30,651 |
$3.55M |
| Q5111 |
Injection, udenyca 0.5 mg |
1,393 |
903 |
$3.15M |
| J9355 |
Inj trastuzumab excl biosimi |
2,644 |
774 |
$2.96M |
| J9305 |
Inj. pemetrexed nos 10mg |
2,708 |
906 |
$2.94M |
| J1950 |
Leuprolide acetate /3.75 mg |
857 |
764 |
$2.89M |
| 78452 |
|
5,490 |
4,971 |
$2.78M |
| 92507 |
|
28,265 |
11,937 |
$2.72M |
| 58571 |
|
490 |
387 |
$2.69M |
| J0485 |
Belatacept injection |
12,494 |
5,012 |
$2.69M |
| 0241U |
|
25,257 |
22,993 |
$2.61M |
| J9310 |
Rituximab injection |
739 |
445 |
$2.59M |
| 38222 |
|
2,059 |
1,728 |
$2.52M |
| 77067 |
|
23,217 |
22,528 |
$2.47M |
| 45385 |
|
5,051 |
4,681 |
$2.46M |
| 58558 |
|
1,338 |
1,247 |
$2.42M |
| 93308 |
|
17,497 |
15,463 |
$2.39M |
| 70450 |
|
50,048 |
43,995 |
$2.35M |
| 36430 |
|
11,282 |
5,653 |
$2.34M |
| 93976 |
|
24,638 |
21,645 |
$2.33M |
| 76825 |
|
5,056 |
4,333 |
$2.33M |
| J9306 |
Injection, pertuzumab, 1 mg |
857 |
542 |
$2.32M |
| 76811 |
|
11,376 |
10,504 |
$2.31M |
| 72125 |
|
26,609 |
23,605 |
$2.27M |
| 36561 |
|
1,301 |
1,186 |
$2.22M |
| Q0138 |
Ferumoxytol, non-esrd |
8,794 |
5,532 |
$2.17M |
| 97530 |
|
48,184 |
24,919 |
$2.14M |
| J9041 |
Injection, bortezomib, 0.1mg |
11,602 |
1,889 |
$2.07M |
| J9311 |
Inj rituximab, hyaluronidase |
763 |
515 |
$2.06M |
| 45378 |
|
3,620 |
3,393 |
$2.05M |
| J9173 |
Inj., durvalumab, 10 mg |
612 |
309 |
$2.04M |
| Q5108 |
Injection, fulphila |
1,656 |
1,004 |
$2.04M |
| 76830 |
|
20,735 |
19,102 |
$2.00M |
| 41899 |
|
5,161 |
4,616 |
$1.95M |
| G0379 |
Direct refer hospital observ |
774 |
702 |
$1.93M |
| 42830 |
|
707 |
669 |
$1.92M |
| 86900 |
|
79,489 |
55,125 |
$1.91M |
| 95782 |
|
2,044 |
1,925 |
$1.90M |
| 66984 |
|
2,381 |
1,940 |
$1.89M |
| 72197 |
|
5,516 |
5,082 |
$1.88M |
| 96415 |
|
27,631 |
19,423 |
$1.84M |
| 76816 |
|
30,783 |
24,108 |
$1.76M |
| 77412 |
|
15,073 |
1,558 |
$1.76M |
| Q5117 |
Inj., kanjinti, 10 mg |
2,106 |
1,248 |
$1.76M |
| 93458 |
|
1,159 |
1,062 |
$1.66M |
| 97162 |
|
31,477 |
28,624 |
$1.63M |
| 72156 |
|
3,695 |
3,366 |
$1.60M |
| 58661 |
|
394 |
367 |
$1.59M |
| J3032 |
Inj. eptinezumab-jjmr 1 mg |
478 |
457 |
$1.56M |
| G0330 |
Facility svs dental rehab |
2,079 |
1,498 |
$1.55M |
| 87491 |
|
79,927 |
70,194 |
$1.55M |
| 69436 |
|
2,501 |
2,332 |
$1.55M |
| 87591 |
|
77,155 |
70,137 |
$1.54M |
| 76770 |
|
18,393 |
17,011 |
$1.51M |
| 70551 |
|
11,371 |
10,356 |
$1.49M |
| 64721 |
|
1,246 |
1,163 |
$1.47M |
| C9803 |
Hopd covid-19 spec collect |
66,446 |
56,143 |
$1.47M |
| 27447 |
|
175 |
160 |
$1.45M |
| 70498 |
|
8,595 |
7,773 |
$1.42M |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
2,391 |
1,574 |
$1.41M |
| 74183 |
|
8,601 |
7,941 |
$1.40M |
| 82947 |
|
536,628 |
393,234 |
$1.36M |
| 96416 |
|
6,975 |
3,908 |
$1.34M |
| C8929 |
Tte w or wo fol wcon,doppler |
6,337 |
5,761 |
$1.34M |
| 96372 |
|
111,242 |
82,830 |
$1.34M |
| P9016 |
Rbc leukocytes reduced |
4,916 |
3,715 |
$1.32M |
| J9264 |
Paclitaxel protein bound |
2,119 |
576 |
$1.32M |
| 71275 |
|
12,292 |
10,931 |
$1.31M |
| 74176 |
|
10,582 |
9,722 |
$1.29M |
| 64493 |
|
1,660 |
1,514 |
$1.27M |
| 94060 |
|
6,418 |
5,349 |
$1.25M |
| 72141 |
|
5,625 |
5,231 |
$1.25M |
| 76801 |
|
11,547 |
10,256 |
$1.23M |
| 90870 |
|
5,298 |
2,003 |
$1.23M |
| 78431 |
|
1,890 |
1,715 |
$1.22M |
| Q5123 |
Inj. riabni, 10 mg |
790 |
349 |
$1.20M |
| 88184 |
|
9,997 |
8,022 |
$1.19M |
| 73721 |
|
6,066 |
5,607 |
$1.16M |
| J2182 |
Injection, mepolizumab, 1mg |
780 |
638 |
$1.14M |
| P9073 |
Platelets pheresis path redu |
2,809 |
968 |
$1.14M |
| 71045 |
|
28,653 |
24,863 |
$1.12M |
| 72148 |
|
8,480 |
7,946 |
$1.11M |
| J0185 |
Inj., aprepitant, 1 mg |
8,648 |
4,753 |
$1.09M |
| 52000 |
|
4,185 |
3,833 |
$1.09M |
| 64615 |
|
7,707 |
5,272 |
$1.07M |
| 70544 |
|
3,235 |
2,936 |
$1.07M |
| 43235 |
|
2,390 |
2,167 |
$1.04M |
| 93971 |
|
16,018 |
14,382 |
$1.04M |
| J9316 |
Pertuzu, trastuzu, 10 mg |
167 |
116 |
$1.03M |
| 90791 |
|
11,381 |
9,986 |
$1.02M |
| 77334 |
|
3,934 |
2,716 |
$1.02M |
| J9358 |
Inj fam-trastu deru-nxki 1mg |
540 |
190 |
$1.01M |
| 64483 |
|
1,478 |
1,419 |
$1.01M |
| 93970 |
|
8,448 |
7,561 |
$1.01M |
| 71250 |
|
16,439 |
15,382 |
$996K |
| Q5119 |
Inj ruxience, 10 mg |
1,340 |
493 |
$983K |
| G0260 |
Inj for sacroiliac jt anesth |
2,262 |
2,041 |
$964K |
| 86902 |
|
1,913 |
1,370 |
$961K |
| 95911 |
|
2,356 |
2,250 |
$948K |
| 96409 |
|
6,177 |
3,899 |
$943K |
| 96366 |
|
20,882 |
12,941 |
$940K |
| J0881 |
Darbepoetin alfa, non-esrd |
9,151 |
5,039 |
$937K |
| 64642 |
|
2,020 |
1,850 |
$890K |
| 84443 |
|
153,221 |
136,021 |
$876K |
| 20610 |
|
4,900 |
4,372 |
$869K |
| J9217 |
Leuprolide acetate suspnsion |
4,086 |
3,463 |
$867K |
| P9040 |
Rbc leukoreduced irradiated |
4,282 |
2,244 |
$866K |
| 95812 |
|
3,670 |
3,471 |
$861K |
| C9399 |
Unclassified drugs or biolog |
381 |
241 |
$845K |
| 77295 |
|
1,333 |
1,076 |
$840K |
| 70491 |
|
4,731 |
4,373 |
$839K |
| 19083 |
|
849 |
754 |
$823K |
| 96417 |
|
18,679 |
10,191 |
$817K |
| 85025 |
|
797,602 |
571,780 |
$815K |
| 70543 |
|
1,814 |
1,656 |
$809K |
| 20680 |
|
856 |
782 |
$777K |
| 96900 |
|
30,080 |
5,431 |
$772K |
| 77301 |
|
1,293 |
1,048 |
$767K |
| 77066 |
Tomosynthesis, mammo |
6,750 |
6,371 |
$761K |
| J9070 |
Cyclophosphamide 100 mg inj |
6,773 |
1,909 |
$758K |
| 95811 |
|
1,061 |
1,003 |
$748K |
| 27130 |
|
90 |
81 |
$737K |
| 97161 |
|
11,954 |
11,075 |
$731K |
| G2083 |
Visit esketamine, > 56m |
1,144 |
431 |
$729K |
| J1726 |
Makena, 10 mg |
1,199 |
395 |
$728K |
| 97535 |
|
21,668 |
15,734 |
$723K |
| 97140 |
|
71,371 |
29,650 |
$721K |
| U0002 |
Covid-19 lab test non-cdc |
20,774 |
17,793 |
$720K |
| J2469 |
Palonosetron hcl |
31,400 |
14,748 |
$719K |
| G0390 |
Trauma respons w/hosp criti |
1,053 |
923 |
$719K |
| 31575 |
|
5,979 |
5,377 |
$713K |
| 78451 |
|
1,458 |
1,345 |
$711K |
| 72100 |
|
22,614 |
21,190 |
$711K |
| 77336 |
|
10,076 |
4,054 |
$704K |
| 93454 |
|
669 |
615 |
$701K |
| 76536 |
|
10,111 |
9,593 |
$676K |
| 76700 |
|
6,687 |
6,328 |
$674K |
| J9395 |
Injection, fulvestrant |
2,892 |
2,220 |
$666K |
| 10060 |
|
4,359 |
3,858 |
$662K |
| 52356 |
|
271 |
228 |
$658K |
| 76856 |
|
8,354 |
7,732 |
$656K |
| 76641 |
|
7,867 |
7,450 |
$643K |
| 36512 |
|
779 |
612 |
$634K |
| 73564 |
|
23,912 |
22,026 |
$629K |
| 73030 |
|
26,264 |
23,909 |
$629K |
| 76805 |
|
5,908 |
5,485 |
$628K |
| 97112 |
|
14,708 |
7,184 |
$620K |
| 75561 |
|
2,193 |
2,002 |
$614K |
| 73610 |
|
26,744 |
23,829 |
$599K |
| 73221 |
|
3,354 |
3,083 |
$587K |
| 73630 |
|
29,888 |
27,040 |
$586K |
| 76642 |
|
10,616 |
9,865 |
$583K |
| 87661 |
|
43,073 |
39,308 |
$580K |
| 62323 |
|
1,226 |
1,173 |
$577K |
| 86780 |
|
55,090 |
50,300 |
$572K |
| 96411 |
|
10,521 |
6,051 |
$567K |
| 87389 |
|
62,588 |
57,471 |
$560K |
| 82306 |
|
39,400 |
36,442 |
$559K |
| 83718 |
|
86,548 |
82,656 |
$558K |
| 54161 |
|
370 |
341 |
$549K |
| 76857 |
|
7,253 |
6,651 |
$548K |
| 0002A |
|
14,746 |
14,250 |
$545K |
| 77300 |
|
3,098 |
2,446 |
$543K |
| 0001A |
|
15,592 |
15,008 |
$533K |
| 73560 |
|
19,505 |
17,400 |
$518K |
| 31653 |
|
310 |
282 |
$502K |
| 20553 |
|
2,621 |
2,451 |
$493K |
| 81513 |
|
6,855 |
6,324 |
$489K |
| 93798 |
|
7,486 |
1,076 |
$488K |
| 95910 |
|
2,286 |
2,164 |
$487K |
| C9467 |
Inj rituximab hyaluronidase |
192 |
119 |
$485K |
| J7307 |
Etonogestrel implant system |
1,581 |
1,336 |
$479K |
| 99213 |
|
9,589 |
7,757 |
$474K |
| 92611 |
|
3,168 |
2,970 |
$472K |
| 95909 |
|
2,174 |
2,053 |
$467K |
| 87636 |
|
3,615 |
3,461 |
$465K |
| 83036 |
|
139,747 |
130,793 |
$464K |
| 86480 |
|
23,916 |
21,668 |
$459K |
| 36415 |
|
671,911 |
516,360 |
$456K |
| 36593 |
|
2,629 |
1,980 |
$451K |
| 90832 |
|
10,706 |
5,999 |
$450K |
| 92523 |
|
1,973 |
1,854 |
$447K |
| 50200 |
|
641 |
584 |
$444K |
| 58662 |
|
180 |
158 |
$439K |
| 96367 |
|
10,205 |
6,629 |
$433K |
| 82247 |
|
377,988 |
292,268 |
$432K |
| 97166 |
|
6,745 |
6,094 |
$431K |
| 72158 |
|
3,621 |
3,334 |
$422K |
| 97116 |
|
13,635 |
7,826 |
$416K |
| 76819 |
|
4,173 |
2,073 |
$414K |
| 49083 |
|
924 |
576 |
$412K |
| J0561 |
Penicillin g benzathine inj |
2,200 |
1,854 |
$410K |
| J0129 |
Abatacept injection |
341 |
292 |
$403K |
| 77065 |
Tomosynthesis, mammo |
3,754 |
3,551 |
$394K |
| 73502 |
|
17,737 |
16,340 |
$390K |
| 43237 |
|
464 |
429 |
$387K |
| 74178 |
|
2,017 |
1,865 |
$381K |
| 74230 |
|
3,531 |
3,320 |
$378K |
| 93975 |
|
2,362 |
2,114 |
$371K |
| 78816 |
|
566 |
517 |
$368K |
| 31231 |
|
2,440 |
2,236 |
$368K |
| 70496 |
|
9,068 |
8,219 |
$367K |
| 87637 |
|
3,781 |
3,615 |
$362K |
| J2997 |
Alteplase recombinant |
3,337 |
2,276 |
$361K |
| 78306 |
|
1,848 |
1,679 |
$361K |
| 95951 |
|
1,342 |
532 |
$355K |
| 78492 |
|
676 |
601 |
$354K |
| 82040 |
|
365,131 |
284,632 |
$354K |
| 82607 |
|
59,032 |
53,865 |
$350K |
| 43249 |
|
325 |
295 |
$348K |
| 92579 |
|
9,590 |
8,757 |
$346K |
| 64450 |
|
2,259 |
2,037 |
$346K |
| 81455 |
|
648 |
504 |
$343K |
| 93351 |
|
1,178 |
1,076 |
$341K |
| 92014 |
|
2,851 |
2,751 |
$336K |
| 99214 |
|
4,311 |
3,751 |
$336K |
| 93017 |
|
10,862 |
9,858 |
$335K |
| 73522 |
|
6,644 |
6,309 |
$329K |
| 76882 |
|
7,173 |
6,649 |
$326K |
| 77063 |
|
22,893 |
22,208 |
$326K |
| 73110 |
|
16,350 |
14,195 |
$322K |
| 0202U |
|
1,112 |
1,003 |
$318K |
| 43276 |
|
118 |
102 |
$318K |
| 52310 |
|
326 |
299 |
$318K |
| 90834 |
|
6,076 |
3,696 |
$315K |
| 80307 |
|
59,625 |
48,802 |
$314K |
| 82728 |
|
82,553 |
73,341 |
$314K |
| 11042 |
|
1,782 |
1,443 |
$311K |
| 10061 |
|
1,120 |
1,029 |
$310K |
| 73130 |
|
18,532 |
16,482 |
$309K |
| 97035 |
|
4,021 |
2,082 |
$309K |
| 47000 |
|
306 |
274 |
$306K |
| J7298 |
Mirena, 52 mg |
1,258 |
1,039 |
$305K |
| 97165 |
|
3,976 |
3,714 |
$303K |
| 92012 |
|
2,568 |
2,442 |
$300K |
| 86870 |
|
1,808 |
1,547 |
$296K |
| 72170 |
|
8,706 |
8,070 |
$294K |
| 51784 |
|
3,092 |
2,784 |
$292K |
| 43259 |
|
391 |
351 |
$292K |
| 86003 |
|
9,837 |
8,759 |
$289K |
| 95700 |
|
2,188 |
1,837 |
$285K |
| 95708 |
|
905 |
510 |
$284K |
| 93880 |
|
2,965 |
2,724 |
$272K |
| 86803 |
|
44,161 |
40,138 |
$271K |
| 30520 |
|
208 |
187 |
$267K |
| Q5101 |
Injection, zarxio |
2,908 |
942 |
$264K |
| 87481 |
|
6,785 |
6,238 |
$264K |
| 77080 |
|
2,977 |
2,778 |
$258K |
| 93005 |
|
230,577 |
187,668 |
$257K |
| 73562 |
|
7,577 |
7,220 |
$255K |
| 96450 |
|
1,065 |
787 |
$254K |
| J9042 |
Brentuximab vedotin inj |
47 |
13 |
$253K |
| 92582 |
|
4,619 |
4,199 |
$249K |
| 93225 |
|
6,087 |
5,662 |
$246K |
| 90853 |
|
24,855 |
5,982 |
$244K |
| 93451 |
|
139 |
127 |
$243K |
| 92557 |
|
4,239 |
3,870 |
$242K |
| 92588 |
|
993 |
880 |
$241K |
| 95076 |
|
533 |
495 |
$239K |
| J1750 |
Inj iron dextran |
1,298 |
1,166 |
$238K |
| 70486 |
|
8,440 |
7,761 |
$237K |
| 74174 |
|
1,728 |
1,547 |
$236K |
| 90651 |
|
1,465 |
1,259 |
$233K |
| 73700 |
|
3,101 |
2,870 |
$229K |
| C9062 |
Daratumumab hyaluronidase |
106 |
45 |
$229K |
| 83013 |
|
4,705 |
4,457 |
$229K |
| 96401 |
|
13,717 |
5,526 |
$229K |
| 25605 |
|
182 |
170 |
$228K |
| 73140 |
|
10,355 |
9,090 |
$224K |
| J2796 |
Romiplostim injection |
495 |
68 |
$222K |
| 93923 |
|
3,256 |
2,969 |
$222K |
| J9145 |
Injection, daratumumab 10 mg |
336 |
83 |
$219K |
| 92526 |
|
2,380 |
1,465 |
$217K |
| 95715 |
|
699 |
409 |
$217K |
| 82310 |
|
516,547 |
380,204 |
$215K |
| 94010 |
|
15,254 |
12,106 |
$209K |
| 87506 |
|
3,748 |
3,376 |
$208K |
| 83970 |
|
19,453 |
16,790 |
$208K |
| 87635 |
|
5,320 |
4,856 |
$206K |
| 94621 |
|
1,545 |
1,212 |
$200K |
| 72157 |
|
2,826 |
2,589 |
$198K |
| 20552 |
|
1,073 |
1,001 |
$195K |
| 58300 |
|
1,090 |
980 |
$195K |
| 87632 |
|
8,578 |
7,608 |
$191K |
| 86832 |
|
2,292 |
2,025 |
$189K |
| 43762 |
|
1,049 |
909 |
$188K |
| 72040 |
|
9,259 |
8,524 |
$187K |
| 83550 |
|
73,618 |
66,171 |
$185K |
| 72070 |
|
5,352 |
5,015 |
$185K |
| 77338 |
|
1,298 |
1,048 |
$181K |
| J9228 |
Ipilimumab injection |
26 |
12 |
$181K |
| 81382 |
|
597 |
489 |
$176K |
| 92586 |
|
1,339 |
1,276 |
$175K |
| 77290 |
|
996 |
813 |
$175K |
| 71271 |
|
1,785 |
1,702 |
$171K |
| 86833 |
|
2,294 |
2,026 |
$169K |
| C8930 |
Tte w or w/o contr, cont ecg |
358 |
326 |
$166K |
| 97163 |
|
2,868 |
2,693 |
$166K |
| 74018 |
|
8,798 |
7,553 |
$164K |
| 87086 |
|
113,452 |
97,321 |
$164K |
| 72146 |
|
2,255 |
2,070 |
$162K |
| 94375 |
|
10,884 |
9,226 |
$155K |
| 77072 |
|
3,708 |
3,467 |
$155K |
| 87536 |
|
14,782 |
13,334 |
$155K |
| 76818 |
|
1,496 |
1,060 |
$154K |
| 73590 |
|
11,173 |
9,891 |
$151K |
| 92610 |
|
905 |
832 |
$149K |
| 90460 |
|
60,988 |
56,217 |
$149K |
| 75574 |
|
1,649 |
1,530 |
$149K |
| 96402 |
|
10,027 |
7,515 |
$148K |
| 20611 |
|
805 |
674 |
$148K |
| 90686 |
|
15,940 |
14,728 |
$148K |
| 70546 |
|
408 |
354 |
$147K |
| V5090 |
Hearing aid dispensing fee |
367 |
284 |
$146K |
| 74220 |
|
1,541 |
1,440 |
$146K |
| 87653 |
|
10,352 |
9,614 |
$145K |
| 83540 |
|
78,117 |
69,815 |
$144K |
| 51700 |
|
1,163 |
909 |
$141K |
| 73080 |
|
8,968 |
8,019 |
$140K |
| 51729 |
|
356 |
338 |
$139K |
| 0012A |
|
3,814 |
3,654 |
$138K |
| 76815 |
|
20,630 |
12,718 |
$138K |
| 72050 |
|
3,328 |
3,118 |
$137K |
| 95806 |
|
1,357 |
1,230 |
$133K |
| G0480 |
Drug test def 1-7 classes |
38,594 |
31,965 |
$133K |
| 72082 |
|
4,744 |
4,463 |
$133K |
| 90837 |
|
1,993 |
1,242 |
$133K |
| 77280 |
|
1,814 |
1,290 |
$132K |
| 92552 |
|
3,835 |
3,489 |
$131K |
| 87340 |
|
42,775 |
38,480 |
$131K |
| 36590 |
|
197 |
185 |
$131K |
| 0011A |
|
4,041 |
3,803 |
$130K |
| C9463 |
Injection, aprepitant |
771 |
364 |
$129K |
| 76813 |
|
2,606 |
2,446 |
$128K |
| 95908 |
|
583 |
565 |
$128K |
| 64447 |
|
1,741 |
1,600 |
$126K |
| 97760 |
|
3,173 |
2,736 |
$126K |
| 99281 |
|
1,642 |
1,502 |
$126K |
| 78264 |
|
501 |
469 |
$125K |
| 90677 |
|
941 |
768 |
$124K |
| 84439 |
|
44,472 |
39,184 |
$123K |
| 29848 |
|
85 |
83 |
$123K |
| 51728 |
|
290 |
264 |
$123K |
| 10005 |
|
302 |
261 |
$121K |
| 84403 |
|
11,306 |
10,218 |
$120K |
| 82746 |
|
22,894 |
20,849 |
$120K |
| 92004 |
|
1,026 |
1,004 |
$120K |
| 90732 |
|
2,096 |
1,831 |
$117K |
| 90670 |
|
1,277 |
1,108 |
$114K |
| 82465 |
|
87,633 |
83,597 |
$114K |
| 73552 |
|
6,956 |
6,349 |
$113K |
| 74170 |
|
1,233 |
1,129 |
$113K |
| 51705 |
|
1,130 |
940 |
$112K |
| 49591 |
|
40 |
37 |
$110K |
| J1453 |
Fosaprepitant injection |
2,912 |
1,703 |
$109K |
| 84702 |
|
43,425 |
32,350 |
$109K |
| 95953 |
|
301 |
188 |
$106K |
| 76000 |
|
1,644 |
1,518 |
$105K |
| 76870 |
|
5,339 |
4,843 |
$103K |
| 72110 |
|
3,154 |
2,971 |
$103K |
| 93304 |
|
252 |
217 |
$101K |
| J2356 |
Inj tezepelumab-ekko, 1mg |
42 |
37 |
$101K |
| 73120 |
|
2,470 |
2,237 |
$100K |
| 72195 |
|
545 |
500 |
$99K |
| 81220 |
|
576 |
509 |
$99K |
| 26055 |
|
175 |
128 |
$97K |
| Q3014 |
Telehealth facility fee |
15,934 |
13,422 |
$97K |
| 70487 |
|
774 |
701 |
$95K |
| J1610 |
Glucagon hydrochloride/1 mg |
1,214 |
1,085 |
$94K |
| 73720 |
|
417 |
379 |
$94K |
| 86706 |
|
24,275 |
21,646 |
$93K |
| 82784 |
|
38,114 |
31,444 |
$93K |
| 96112 |
|
493 |
407 |
$92K |
| 87651 |
|
18,282 |
17,084 |
$92K |
| 73718 |
|
480 |
446 |
$92K |
| 36522 |
|
32 |
13 |
$91K |
| 86923 |
|
8,388 |
5,421 |
$89K |
| 83655 |
|
22,657 |
18,761 |
$89K |
| 86235 |
|
5,515 |
4,815 |
$87K |
| 87522 |
Neg quan hep c or qual rna |
6,571 |
5,765 |
$86K |
| 64415 |
|
2,002 |
1,848 |
$86K |
| P9047 |
Albumin (human), 25%, 50ml |
989 |
516 |
$86K |
| 72131 |
|
1,788 |
1,667 |
$86K |
| 29075 |
|
378 |
337 |
$84K |
| 36591 |
|
6,590 |
4,531 |
$84K |
| 92652 |
|
789 |
614 |
$83K |
| 70480 |
|
1,011 |
963 |
$83K |
| 77073 |
|
2,155 |
2,046 |
$83K |
| J9303 |
Panitumumab injection |
53 |
12 |
$82K |
| 82570 |
|
58,408 |
50,294 |
$82K |
| 73200 |
|
1,128 |
1,056 |
$82K |
| 90675 |
|
305 |
142 |
$81K |
| 74240 |
|
623 |
587 |
$80K |
| 93926 |
|
1,733 |
1,492 |
$80K |
| 64616 |
|
766 |
660 |
$80K |
| M0243 |
Casirivi and imdevi inj |
193 |
190 |
$80K |
| 72190 |
|
1,014 |
935 |
$80K |
| 77470 |
|
407 |
308 |
$79K |
| 36589 |
|
275 |
259 |
$79K |
| 36592 |
|
7,608 |
5,050 |
$78K |
| 85610 |
|
112,356 |
82,439 |
$78K |
| 57522 |
|
39 |
38 |
$77K |
| G0498 |
Chemo extend iv infus w/pump |
665 |
400 |
$77K |
| 87631 |
|
4,018 |
3,753 |
$77K |
| 77062 |
|
6,023 |
5,698 |
$76K |
| 31624 |
|
276 |
239 |
$76K |
| 55700 |
|
99 |
91 |
$75K |
| 62270 |
|
152 |
136 |
$74K |
| 73070 |
|
4,045 |
3,498 |
$73K |
| 82374 |
|
531,694 |
389,526 |
$72K |
| 73090 |
|
8,478 |
7,298 |
$72K |
| 83735 |
|
158,103 |
105,360 |
$72K |
| 73000 |
|
2,621 |
2,300 |
$72K |
| J9171 |
Docetaxel injection |
2,811 |
1,327 |
$72K |
| 86360 |
|
14,637 |
13,172 |
$72K |
| 99215 |
Prolong outpt/office vis |
627 |
569 |
$71K |
| 82670 |
|
6,047 |
5,482 |
$71K |
| 11100 |
|
336 |
299 |
$69K |
| 85027 |
|
65,685 |
50,551 |
$69K |
| 86140 |
|
62,754 |
53,782 |
$69K |
| 83001 |
|
8,913 |
8,078 |
$69K |
| 87497 |
|
10,988 |
6,029 |
$68K |
| 94660 |
|
3,871 |
1,955 |
$68K |
| C8924 |
2d tte w or w/o fol w/con,fu |
717 |
639 |
$68K |
| 86038 |
|
16,439 |
14,765 |
$67K |
| 86147 |
|
5,121 |
4,450 |
$67K |
| 83880 |
|
35,281 |
29,240 |
$67K |
| 49505 |
|
25 |
25 |
$66K |
| 72081 |
|
3,582 |
3,330 |
$65K |
| 86704 |
|
18,268 |
16,141 |
$65K |
| 95912 |
|
158 |
156 |
$65K |
| C8908 |
Mri w/o fol w/cont, breast, |
299 |
271 |
$65K |
| 84146 |
|
7,302 |
6,602 |
$64K |
| 11102 |
|
547 |
493 |
$64K |
| 81479 |
|
248 |
229 |
$63K |
| G0103 |
Psa screening |
6,132 |
5,586 |
$63K |
| 76885 |
|
877 |
833 |
$62K |
| 86905 |
|
732 |
600 |
$62K |
| 86618 |
|
9,135 |
8,406 |
$62K |
| 59820 |
|
25 |
24 |
$62K |
| 20605 |
|
360 |
320 |
$62K |
| 93296 |
|
3,920 |
3,809 |
$61K |
| J0517 |
Inj., benralizumab, 1 mg |
27 |
26 |
$61K |
| 84425 |
|
6,019 |
5,508 |
$61K |
| 83002 |
|
8,125 |
7,325 |
$60K |
| 84270 |
|
6,219 |
5,525 |
$59K |
| 29515 |
|
477 |
425 |
$59K |
| 82105 |
|
12,445 |
11,061 |
$59K |
| 81378 |
|
252 |
216 |
$58K |
| 86922 |
|
2,337 |
1,540 |
$58K |
| 86160 |
|
10,017 |
8,785 |
$58K |
| C9600 |
Perc drug-el cor stent sing |
13 |
12 |
$57K |
| 74160 |
|
684 |
644 |
$57K |
| 82043 |
|
26,998 |
24,604 |
$56K |
| 86146 |
|
4,269 |
3,750 |
$56K |
| 73060 |
|
4,791 |
4,282 |
$56K |
| 30140 |
|
201 |
188 |
$55K |
| 80061 |
|
30,455 |
26,764 |
$55K |
| 64635 |
|
39 |
36 |
$55K |
| Q9950 |
Inj sulf hexa lipid microsph |
7,183 |
4,823 |
$55K |
| 58301 |
|
329 |
312 |
$54K |
| 37243 |
|
13 |
12 |
$54K |
| 87186 |
|
32,466 |
28,980 |
$54K |
| 90746 |
|
1,484 |
1,345 |
$53K |
| 81001 |
|
132,408 |
113,348 |
$53K |
| 99212 |
|
1,692 |
1,483 |
$52K |
| 57454 |
|
220 |
204 |
$52K |
| 97542 |
|
2,203 |
1,771 |
$51K |
| M0222 |
Bebtelovimab injection |
231 |
203 |
$51K |
| 83721 |
|
12,038 |
11,208 |
$51K |
| 51725 |
|
283 |
267 |
$51K |
| G0399 |
Home sleep test/type 3 porta |
448 |
425 |
$50K |
| 80197 |
|
21,084 |
11,040 |
$50K |
| 92651 |
|
406 |
330 |
$48K |
| 99195 |
|
1,027 |
829 |
$47K |
| 85055 |
|
24,153 |
12,836 |
$47K |
| 87077 |
|
28,081 |
25,098 |
$47K |
| 86008 |
|
1,506 |
1,325 |
$47K |
| 87799 |
|
7,379 |
5,196 |
$47K |
| J0739 |
Hiv prep, inj, cabotegravir |
12 |
12 |
$46K |
| 84153 |
|
11,390 |
9,775 |
$46K |
| J9202 |
Goserelin acetate implant |
78 |
65 |
$46K |
| 84478 |
|
83,544 |
77,291 |
$46K |
| 88305 |
|
31,960 |
28,474 |
$46K |
| 74181 |
|
575 |
522 |
$46K |
| 83516 |
|
8,804 |
7,588 |
$45K |
| 84480 |
|
7,501 |
6,539 |
$44K |
| 84402 |
|
3,971 |
3,620 |
$44K |
| 90378 |
|
18 |
16 |
$43K |
| 66982 |
|
47 |
42 |
$43K |
| 76817 |
|
16,629 |
13,267 |
$43K |
| 94640 |
|
57,921 |
34,481 |
$43K |
| 96910 |
|
2,437 |
597 |
$43K |
| 81508 |
|
1,442 |
1,362 |
$43K |
| 86708 |
|
9,946 |
8,757 |
$43K |
| 64400 |
|
190 |
173 |
$43K |
| 51702 |
|
2,350 |
2,020 |
$42K |
| J9075 |
Inj, cyclophosphamide, nos |
697 |
186 |
$42K |
| 84445 |
|
2,221 |
2,030 |
$42K |
| G0378 |
Hospital observation per hr |
99,325 |
74,304 |
$41K |
| 64999 |
|
2,002 |
1,779 |
$41K |
| 86334 |
|
11,858 |
10,155 |
$41K |
| 90935 |
|
1,501 |
853 |
$41K |
| 93925 |
|
485 |
455 |
$41K |
| 92585 |
|
225 |
205 |
$40K |
| 96523 |
|
2,776 |
2,171 |
$39K |
| 95813 |
|
425 |
367 |
$39K |
| 87502 |
|
14,986 |
14,020 |
$39K |
| 71101 |
|
3,472 |
3,201 |
$38K |
| J1930 |
Lanreotide injection |
18 |
12 |
$38K |
| 97763 |
|
2,180 |
1,652 |
$38K |
| 74241 |
|
206 |
203 |
$38K |
| 81206 |
|
2,367 |
1,904 |
$38K |
| 95117 |
|
997 |
566 |
$37K |
| 82951 |
|
3,373 |
3,219 |
$37K |
| 86787 |
|
13,486 |
12,254 |
$36K |
| 29581 |
|
511 |
381 |
$35K |
| 82950 |
|
9,055 |
8,568 |
$35K |
| 86762 |
|
14,799 |
13,422 |
$35K |
| 80053 |
|
191,155 |
130,646 |
$35K |
| 85730 |
|
49,803 |
38,764 |
$35K |
| V5011 |
Hearing aid fitting/checking |
1,258 |
990 |
$34K |
| 83921 |
|
7,632 |
6,880 |
$34K |
| 82785 |
|
8,427 |
7,292 |
$34K |
| 85652 |
|
50,395 |
44,447 |
$34K |
| 76080 |
|
138 |
105 |
$34K |
| 77373 |
|
53 |
12 |
$33K |
| 86769 |
|
1,028 |
929 |
$33K |
| J1729 |
Inj hydroxyprogst capoat nos |
175 |
59 |
$33K |
| 77061 |
|
2,784 |
2,644 |
$33K |
| 54640 |
|
14 |
12 |
$33K |
| 51798 |
|
19,586 |
17,522 |
$32K |
| 74019 |
|
3,183 |
2,814 |
$32K |
| 64454 |
|
115 |
109 |
$32K |
| V5264 |
Ear mold/insert |
1,164 |
931 |
$32K |
| 86830 |
|
624 |
572 |
$32K |
| 87529 |
|
3,114 |
2,799 |
$32K |
| 92511 |
|
219 |
201 |
$32K |
| 83520 |
|
5,496 |
4,722 |
$31K |
| 83525 |
|
5,497 |
4,765 |
$31K |
| 82627 |
|
3,664 |
3,317 |
$31K |
| 97755 |
|
2,277 |
1,750 |
$31K |
| 88342 |
|
8,545 |
7,439 |
$31K |
| 86682 |
|
2,331 |
1,912 |
$30K |
| 87517 |
|
2,574 |
2,248 |
$30K |
| 83521 |
|
8,912 |
7,659 |
$30K |
| 81003 |
|
79,566 |
70,910 |
$29K |
| 95712 |
|
184 |
163 |
$29K |
| 73660 |
|
2,853 |
2,602 |
$29K |
| 86765 |
|
3,948 |
3,532 |
$29K |
| J2315 |
Naltrexone, depot form |
46 |
37 |
$28K |
| 86735 |
|
3,494 |
3,159 |
$28K |
| 86665 |
|
5,182 |
3,881 |
$28K |
| 82652 |
|
1,485 |
1,337 |
$28K |
| 86225 |
|
7,763 |
6,825 |
$28K |
| 82533 |
|
5,900 |
4,669 |
$28K |
| 87070 |
|
20,645 |
17,286 |
$27K |
| 86696 |
|
2,986 |
2,641 |
$27K |
| 86831 |
|
624 |
572 |
$27K |
| 84165 |
|
18,095 |
15,405 |
$27K |
| 0031A |
|
1,839 |
873 |
$27K |
| 74455 |
|
192 |
174 |
$27K |
| 83014 |
|
4,672 |
4,429 |
$27K |
| Q0222 |
Bebtelovimab 175 mg |
17 |
16 |
$26K |
| 83690 |
|
100,453 |
84,467 |
$25K |
| 87798 |
|
2,858 |
2,574 |
$25K |
| 95819 |
|
119 |
111 |
$25K |
| 43264 |
|
80 |
75 |
$25K |
| 83021 |
|
13,941 |
11,675 |
$25K |
| 76604 |
|
1,677 |
1,557 |
$25K |
| G0297 |
Ldct for lung ca screen |
376 |
359 |
$24K |
| 94726 |
|
1,316 |
913 |
$24K |
| 86376 |
|
5,661 |
5,138 |
$24K |
| 75716 |
|
41 |
39 |
$23K |
| 82088 |
|
1,431 |
1,208 |
$23K |
| 74221 |
|
172 |
164 |
$23K |
| 84156 |
|
34,120 |
28,521 |
$23K |
| 84207 |
|
1,909 |
1,736 |
$23K |
| J9155 |
Degarelix injection |
217 |
195 |
$23K |
| 94728 |
|
2,553 |
2,365 |
$23K |
| 84630 |
|
3,915 |
3,611 |
$23K |
| 91122 |
|
132 |
113 |
$22K |
| 42821 |
|
18 |
14 |
$22K |
| A9595 |
Piflu f-18, dia 1 millicurie |
26 |
24 |
$22K |
| 67311 |
|
12 |
12 |
$22K |
| 86359 |
|
14,643 |
13,179 |
$22K |
| 86800 |
|
4,447 |
4,037 |
$22K |
| 82248 |
|
154,825 |
127,534 |
$22K |
| 93786 |
|
295 |
265 |
$22K |
| 85245 |
|
4,150 |
3,593 |
$22K |
| 93990 |
|
900 |
813 |
$21K |
| 95816 |
|
89 |
82 |
$21K |
| 58100 |
|
145 |
140 |
$21K |
| 86705 |
|
5,232 |
4,822 |
$21K |
| 82024 |
|
1,516 |
1,342 |
$21K |
| 64445 |
|
536 |
491 |
$21K |
| 82378 |
|
14,809 |
11,874 |
$21K |
| 86850 |
|
76,535 |
53,220 |
$21K |
| 88304 |
|
7,557 |
6,941 |
$21K |
| P9037 |
Plate pheres leukoredu irrad |
51 |
27 |
$20K |
| 83883 |
|
8,133 |
6,595 |
$20K |
| 97129 |
|
255 |
89 |
$20K |
| 83498 |
|
2,180 |
1,949 |
$20K |
| 92950 |
|
130 |
118 |
$20K |
| 70360 |
|
1,696 |
1,590 |
$20K |
| 87624 |
|
3,460 |
3,164 |
$20K |
| 86364 |
|
5,142 |
4,715 |
$20K |
| 76775 |
|
2,633 |
2,425 |
$20K |
| 80048 |
|
96,773 |
64,472 |
$20K |
| J1611 |
Inj glucagon hcl, fresenius |
425 |
380 |
$19K |
| 54163 |
|
14 |
12 |
$19K |
| 73521 |
|
1,018 |
958 |
$19K |
| M0239 |
Bamlanivimab-xxxx infusion |
98 |
66 |
$19K |
| 11721 |
|
1,937 |
1,775 |
$19K |
| 90662 |
|
3,158 |
2,808 |
$19K |
| 85244 |
|
4,159 |
3,616 |
$19K |
| 86695 |
|
2,986 |
2,641 |
$19K |
| 80177 |
|
5,668 |
4,940 |
$19K |
| 85240 |
|
4,813 |
4,085 |
$18K |
| 83993 |
|
1,614 |
1,513 |
$18K |
| 64612 |
|
120 |
116 |
$18K |
| G0279 |
Tomosynthesis, mammo |
556 |
529 |
$18K |
| 41010 |
|
15 |
13 |
$18K |
| 11981 |
|
357 |
320 |
$18K |
| 43760 |
|
70 |
65 |
$18K |
| 52287 |
|
27 |
24 |
$18K |
| 86709 |
|
4,603 |
4,226 |
$17K |
| 87088 |
|
10,712 |
9,742 |
$17K |
| 52332 |
|
12 |
12 |
$17K |
| 98967 |
|
971 |
297 |
$17K |
| 86431 |
|
8,551 |
7,793 |
$17K |
| 73100 |
|
1,682 |
1,435 |
$17K |
| 86200 |
|
4,551 |
4,115 |
$17K |
| 94664 |
|
6,058 |
5,378 |
$17K |
| 87338 |
|
1,863 |
1,794 |
$17K |
| 86255 |
|
2,445 |
1,896 |
$16K |
| 38505 |
|
34 |
27 |
$16K |
| 91120 |
|
88 |
83 |
$16K |
| 31628 |
|
51 |
51 |
$16K |
| 93242 |
|
1,145 |
1,055 |
$16K |
| 84305 |
|
3,231 |
2,957 |
$16K |
| 83519 |
|
2,558 |
2,199 |
$16K |
| 95713 |
|
56 |
49 |
$16K |
| 86039 |
|
4,720 |
4,216 |
$16K |
| 45381 |
|
42 |
37 |
$16K |
| 84432 |
|
2,755 |
2,250 |
$16K |
| 62321 |
|
25 |
25 |
$15K |
| 73650 |
|
704 |
643 |
$15K |
| 80164 |
|
5,218 |
4,378 |
$15K |
| 88142 |
|
1,428 |
1,338 |
$15K |
| 31526 |
|
14 |
13 |
$15K |
| 78582 |
|
97 |
76 |
$15K |
| C9447 |
Inj, phenylephrine ketorolac |
139 |
110 |
$15K |
| 0240U |
|
122 |
118 |
$15K |
| 82397 |
|
3,498 |
3,174 |
$15K |
| 91010 |
|
45 |
41 |
$15K |
| 85598 |
|
3,695 |
3,261 |
$14K |
| 72220 |
|
920 |
865 |
$14K |
| 51720 |
|
94 |
49 |
$14K |
| 90792 |
|
113 |
109 |
$14K |
| 83090 |
|
3,390 |
3,013 |
$14K |
| 85046 |
|
24,846 |
18,233 |
$14K |
| 87205 |
|
19,822 |
16,290 |
$14K |
| 71100 |
|
896 |
852 |
$14K |
| G0257 |
Unsched dialysis esrd pt hos |
1,007 |
510 |
$14K |
| G0424 |
Pulmonary rehab w exer |
660 |
141 |
$14K |
| 84244 |
|
1,595 |
1,466 |
$14K |
| 70481 |
|
104 |
99 |
$14K |
| 95250 |
|
154 |
135 |
$13K |
| 87640 |
|
1,701 |
1,541 |
$13K |
| 81025 |
|
105,382 |
91,384 |
$13K |
| 92960 |
|
54 |
54 |
$13K |
| G2066 |
Inter devc remote 30d |
1,961 |
1,851 |
$13K |
| 85007 |
|
34,823 |
25,554 |
$13K |
| 86304 |
|
5,811 |
4,476 |
$13K |
| 86258 |
|
2,165 |
1,973 |
$13K |
| 80175 |
|
2,727 |
2,379 |
$13K |
| P9041 |
Albumin (human),5%, 50ml |
40 |
24 |
$13K |
| 84460 |
|
385,201 |
301,303 |
$13K |
| 87081 |
|
6,899 |
6,317 |
$13K |
| 72080 |
|
584 |
561 |
$12K |
| 86664 |
|
4,805 |
3,883 |
$12K |
| 97032 |
|
146 |
79 |
$12K |
| 73600 |
|
739 |
588 |
$12K |
| 82157 |
|
1,402 |
1,237 |
$12K |
| 87209 |
|
1,884 |
1,652 |
$12K |
| M0247 |
Sotrovimab infusion |
39 |
36 |
$12K |
| M0245 |
Bamlan and etesev infusion |
63 |
37 |
$12K |
| 85379 |
|
22,271 |
19,440 |
$12K |
| 29065 |
|
51 |
45 |
$12K |
| 0071A |
|
336 |
301 |
$12K |
| G0239 |
Oth resp proc, group |
807 |
169 |
$12K |
| 10022 |
|
30 |
25 |
$11K |
| 10120 |
|
42 |
38 |
$11K |
| 88307 |
|
4,844 |
4,158 |
$11K |
| 94618 |
|
3,237 |
2,296 |
$11K |
| 92567 |
|
25,071 |
22,569 |
$11K |
| 0072A |
|
296 |
296 |
$11K |
| 88300 |
|
7,205 |
6,539 |
$11K |
| 46607 |
|
27 |
25 |
$11K |
| 17250 |
|
1,230 |
1,098 |
$11K |
| 86592 |
|
3,324 |
3,060 |
$11K |
| 86341 |
|
945 |
845 |
$11K |
| 86301 |
|
5,286 |
4,241 |
$11K |
| 95913 |
|
27 |
24 |
$10K |
| 19081 |
|
18 |
15 |
$10K |
| 72128 |
|
200 |
178 |
$10K |
| 11056 |
|
314 |
285 |
$10K |
| 64490 |
|
13 |
13 |
$10K |
| 72072 |
|
773 |
712 |
$10K |
| 93299 |
|
491 |
476 |
$10K |
| 83010 |
|
9,418 |
5,574 |
$10K |
| 82565 |
|
552,767 |
399,288 |
$10K |
| 28285 |
|
14 |
12 |
$10K |
| 72120 |
|
392 |
376 |
$9K |
| 87449 |
|
4,230 |
3,597 |
$9K |
| 86335 |
|
3,226 |
2,756 |
$9K |
| 97014 |
|
149 |
70 |
$9K |
| 87324 |
|
2,923 |
2,600 |
$9K |
| 97597 |
|
123 |
105 |
$9K |
| 73620 |
|
429 |
298 |
$9K |
| 82139 |
|
1,619 |
1,292 |
$9K |
| P9011 |
Blood split unit |
143 |
67 |
$9K |
| 92551 |
|
1,452 |
1,388 |
$9K |
| 87177 |
|
1,861 |
1,668 |
$9K |
| 86300 |
|
6,726 |
5,167 |
$9K |
| 91040 |
|
38 |
30 |
$9K |
| 84166 |
|
3,386 |
2,903 |
$8K |
| 76826 |
|
35 |
28 |
$8K |
| 82390 |
|
2,777 |
2,506 |
$8K |
| 14060 |
|
15 |
13 |
$8K |
| 98968 |
|
506 |
137 |
$8K |
| 84134 |
|
1,888 |
1,677 |
$8K |
| 82150 |
|
4,839 |
3,553 |
$8K |
| 85613 |
|
3,759 |
3,271 |
$8K |
| 43238 |
|
13 |
12 |
$8K |
| 80183 |
|
2,006 |
1,757 |
$8K |
| 82787 |
|
1,680 |
1,415 |
$8K |
| 87075 |
|
9,520 |
7,604 |
$8K |
| 86812 |
|
1,123 |
1,044 |
$8K |
| 49452 |
|
12 |
12 |
$8K |
| 24640 |
|
43 |
36 |
$8K |
| 91322 |
|
320 |
269 |
$8K |
| 82952 |
|
2,835 |
2,607 |
$8K |
| 82164 |
|
1,813 |
1,575 |
$8K |
| 17110 |
|
407 |
358 |
$8K |
| 80299 |
|
1,605 |
1,352 |
$7K |
| 74175 |
|
646 |
559 |
$7K |
| 86617 |
|
718 |
612 |
$7K |
| J2597 |
Inj desmopressin acetate |
258 |
233 |
$7K |
| 57455 |
|
32 |
29 |
$7K |
| 31267 |
|
14 |
13 |
$7K |
| 82140 |
|
4,503 |
3,760 |
$7K |
| 86880 |
|
2,898 |
2,445 |
$7K |
| 82550 |
|
22,480 |
18,808 |
$7K |
| 82103 |
|
1,802 |
1,485 |
$7K |
| 86021 |
|
2,113 |
1,676 |
$7K |
| 0054A |
|
348 |
254 |
$7K |
| 75580 |
|
17 |
12 |
$7K |
| 73723 |
|
31 |
27 |
$7K |
| 82542 |
|
1,023 |
884 |
$7K |
| 84484 |
|
135,407 |
69,868 |
$7K |
| 12001 |
|
5,281 |
4,891 |
$7K |
| 84481 |
|
1,450 |
1,115 |
$7K |
| 45331 |
|
14 |
12 |
$6K |
| 84144 |
|
499 |
438 |
$6K |
| 80156 |
|
1,441 |
1,216 |
$6K |
| 11982 |
|
30 |
29 |
$6K |
| 83615 |
|
56,163 |
38,635 |
$6K |
| J1097 |
Phenylep ketorolac opth soln |
53 |
46 |
$6K |
| 82525 |
|
1,839 |
1,623 |
$6K |
| 91035 |
|
12 |
12 |
$6K |
| 12011 |
|
4,380 |
4,041 |
$6K |
| 82085 |
|
1,915 |
1,683 |
$6K |
| 90480 |
|
349 |
293 |
$6K |
| 86381 |
|
684 |
599 |
$6K |
| 70250 |
|
471 |
406 |
$6K |
| Q9968 |
Visualization adjunct |
590 |
280 |
$6K |
| 72192 |
|
113 |
104 |
$6K |
| 31500 |
|
52 |
49 |
$5K |
| 92522 |
|
28 |
26 |
$5K |
| 86316 |
|
1,724 |
1,453 |
$5K |
| M0220 |
Tixagev and cilgav inj |
64 |
54 |
$5K |
| 59841 |
|
144 |
101 |
$5K |
| 92612 |
|
64 |
53 |
$5K |
| 11900 |
|
309 |
274 |
$5K |
| 81596 |
|
141 |
127 |
$5K |
| 81269 |
|
46 |
43 |
$5K |
| 87300 |
|
923 |
867 |
$5K |
| 97167 |
|
95 |
89 |
$5K |
| J7342 |
Ciprofloxacin otic susp 6 mg |
247 |
202 |
$5K |
| 82239 |
|
639 |
483 |
$5K |
| 97022 |
|
64 |
42 |
$5K |
| 0124A |
|
244 |
223 |
$5K |
| 85306 |
|
1,447 |
1,227 |
$5K |
| J2310 |
Inj naloxone hydrochloride |
1,766 |
1,372 |
$5K |
| 87808 |
|
4,316 |
4,023 |
$5K |
| 69210 |
|
2,777 |
2,576 |
$5K |
| 83835 |
|
827 |
739 |
$5K |
| 82232 |
|
2,464 |
2,070 |
$5K |
| 72193 |
|
46 |
41 |
$5K |
| 84202 |
|
515 |
502 |
$5K |
| 86357 |
|
2,711 |
2,354 |
$5K |
| 86355 |
|
2,703 |
2,347 |
$5K |
| 91200 |
|
43 |
40 |
$5K |
| 51741 |
|
2,776 |
2,567 |
$5K |
| 86256 |
|
299 |
257 |
$5K |
| 0004A |
|
221 |
126 |
$5K |
| 87015 |
|
6,066 |
4,642 |
$4K |
| 81372 |
|
32 |
24 |
$4K |
| 84450 |
|
370,944 |
289,664 |
$4K |
| 19301 |
|
17 |
12 |
$4K |
| 31615 |
|
15 |
14 |
$4K |
| 84154 |
|
733 |
667 |
$4K |
| 74740 |
|
17 |
17 |
$4K |
| 97164 |
|
427 |
399 |
$4K |
| 86015 |
|
1,301 |
1,163 |
$4K |
| 90833 |
|
170 |
125 |
$4K |
| 82274 |
|
391 |
376 |
$4K |
| 83020 |
|
591 |
539 |
$4K |
| 86645 |
|
2,688 |
2,008 |
$4K |
| 87493 |
|
603 |
558 |
$4K |
| 87633 |
|
282 |
261 |
$4K |
| 86644 |
|
3,806 |
2,933 |
$4K |
| 82435 |
|
509,162 |
374,769 |
$4K |
| 94625 |
|
448 |
85 |
$4K |
| 86580 |
|
1,107 |
1,042 |
$4K |
| 80178 |
|
2,876 |
2,261 |
$4K |
| 82340 |
|
2,026 |
1,850 |
$4K |
| 87116 |
|
2,727 |
2,071 |
$4K |
| 87102 |
|
3,831 |
3,041 |
$4K |
| 86593 |
|
1,077 |
977 |
$4K |
| 82166 |
|
285 |
264 |
$4K |
| 76820 |
|
6,047 |
2,049 |
$4K |
| 84410 |
|
111 |
88 |
$4K |
| 84145 |
|
11,599 |
9,552 |
$4K |
| 93271 |
|
54 |
51 |
$4K |
| 80235 |
|
635 |
548 |
$4K |
| P9604 |
One-way allow prorated trip |
3,081 |
1,787 |
$4K |
| 82379 |
|
782 |
679 |
$3K |
| 84681 |
|
501 |
455 |
$3K |
| 89051 |
|
6,034 |
4,162 |
$3K |
| 85018 |
|
25,638 |
19,326 |
$3K |
| J0612 |
Inj, calcium gluconate, nos |
964 |
642 |
$3K |
| 88360 |
|
2,898 |
2,430 |
$3K |
| 82803 |
|
53,276 |
42,204 |
$3K |
| 85303 |
|
1,153 |
1,024 |
$3K |
| 76821 |
|
855 |
385 |
$3K |
| 20550 |
|
12 |
12 |
$3K |
| 82668 |
|
1,619 |
1,364 |
$3K |
| 86036 |
|
1,088 |
910 |
$3K |
| 91065 |
|
27 |
25 |
$3K |
| 83605 |
|
57,427 |
44,554 |
$3K |
| 81207 |
|
380 |
306 |
$3K |
| 84436 |
|
1,285 |
1,191 |
$3K |
| 87252 |
|
425 |
402 |
$3K |
| 94680 |
|
668 |
592 |
$3K |
| 85300 |
|
1,402 |
1,165 |
$3K |
| 84446 |
|
727 |
642 |
$3K |
| 87329 |
|
510 |
462 |
$3K |
| 87902 |
|
44 |
40 |
$3K |
| 94642 |
|
1,825 |
1,573 |
$3K |
| 87040 |
|
16,377 |
8,694 |
$3K |
| 85576 |
|
743 |
686 |
$3K |
| 86666 |
|
435 |
292 |
$3K |
| 92555 |
|
2,638 |
2,393 |
$3K |
| 85384 |
|
5,718 |
4,266 |
$3K |
| 87101 |
|
674 |
608 |
$3K |
| 87184 |
|
2,463 |
2,171 |
$3K |
| 96377 |
|
4,723 |
3,140 |
$3K |
| 88112 |
|
3,721 |
3,194 |
$3K |
| 80076 |
|
4,295 |
3,601 |
$3K |
| 73503 |
|
84 |
78 |
$3K |
| 87206 |
|
3,643 |
2,926 |
$3K |
| 92570 |
|
66 |
56 |
$3K |
| 93979 |
|
127 |
119 |
$3K |
| 83695 |
|
459 |
424 |
$3K |
| 86317 |
|
1,294 |
800 |
$3K |
| 93888 |
|
34 |
24 |
$3K |
| 80184 |
|
7,926 |
7,114 |
$3K |
| 85014 |
|
42,911 |
36,820 |
$3K |
| 12002 |
|
2,783 |
2,560 |
$3K |
| 92609 |
|
31 |
12 |
$2K |
| 91037 |
|
12 |
12 |
$2K |
| 77332 |
|
42 |
36 |
$2K |
| 84590 |
|
719 |
640 |
$2K |
| 84550 |
|
24,394 |
18,361 |
$2K |
| 85520 |
|
827 |
552 |
$2K |
| 81050 |
|
1,676 |
1,552 |
$2K |
| 80185 |
|
655 |
544 |
$2K |
| 87625 |
|
190 |
180 |
$2K |
| 57452 |
|
16 |
14 |
$2K |
| 86308 |
|
2,041 |
1,870 |
$2K |
| 82330 |
|
42,110 |
36,325 |
$2K |
| 82172 |
|
354 |
325 |
$2K |
| 93280 |
|
2,563 |
2,296 |
$2K |
| 87484 |
|
320 |
293 |
$2K |
| 87468 |
|
320 |
293 |
$2K |
| 93312 |
|
16 |
13 |
$2K |
| 86753 |
|
320 |
300 |
$2K |
| 84100 |
|
66,964 |
46,052 |
$2K |
| 76828 |
|
156 |
118 |
$2K |
| 81270 |
|
780 |
650 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
34 |
29 |
$2K |
| 84600 |
|
3,317 |
2,895 |
$2K |
| 81002 |
|
74,957 |
61,477 |
$2K |
| 80201 |
|
484 |
440 |
$2K |
| 84300 |
|
2,775 |
2,367 |
$2K |
| 92250 |
|
275 |
236 |
$2K |
| 90740 |
|
17 |
13 |
$2K |
| 83935 |
|
1,590 |
1,352 |
$2K |
| 86777 |
|
1,039 |
831 |
$2K |
| 81267 |
|
304 |
251 |
$2K |
| 20600 |
|
14 |
12 |
$2K |
| 83789 |
|
373 |
321 |
$1K |
| 88175 |
|
3,805 |
3,384 |
$1K |
| J3490 |
Drugs unclassified injection |
1,382,905 |
366,777 |
$1K |
| 82104 |
|
1,033 |
920 |
$1K |
| 82962 |
|
32,046 |
26,710 |
$1K |
| 29125 |
|
1,726 |
1,584 |
$1K |
| 92556 |
|
4,579 |
4,158 |
$1K |
| 11104 |
|
16 |
12 |
$1K |
| 70549 |
|
24 |
24 |
$1K |
| 82017 |
|
318 |
294 |
$1K |
| 81240 |
|
1,301 |
1,147 |
$1K |
| 84132 |
|
523,175 |
383,875 |
$1K |
| 11057 |
|
12 |
12 |
$1K |
| 82523 |
|
288 |
265 |
$1K |
| 82610 |
|
575 |
508 |
$1K |
| 82010 |
|
4,081 |
3,466 |
$1K |
| 82977 |
|
15,128 |
11,425 |
$1K |
| 84520 |
|
540,987 |
397,131 |
$1K |
| 83930 |
|
1,288 |
1,099 |
$1K |
| 86901 |
|
79,350 |
55,038 |
$1K |
| 89060 |
|
985 |
875 |
$1K |
| 72052 |
|
26 |
24 |
$1K |
| 0052A |
|
45 |
31 |
$1K |
| 95249 |
|
18 |
14 |
$1K |
| 90636 |
|
48 |
41 |
$1K |
| J2272 |
Inj, morphine (fresenius) |
4,058 |
3,256 |
$1K |
| 82945 |
|
1,750 |
1,416 |
$1K |
| 11055 |
|
46 |
41 |
$1K |
| 84157 |
|
2,024 |
1,648 |
$1K |
| 80158 |
|
546 |
300 |
$1K |
| 86340 |
|
257 |
236 |
$1K |
| 93283 |
|
1,346 |
1,226 |
$1K |
| 84295 |
|
533,153 |
390,592 |
$997.02 |
| 88185 |
|
9,880 |
7,935 |
$970.28 |
| 0064A |
|
53 |
27 |
$960.00 |
| 84133 |
|
1,616 |
1,411 |
$957.63 |
| 87220 |
|
466 |
419 |
$956.45 |
| 80051 |
|
2,358 |
2,128 |
$954.90 |
| 87563 |
|
87 |
82 |
$933.28 |
| 86162 |
|
296 |
269 |
$931.20 |
| 80203 |
|
197 |
159 |
$911.52 |
| 93284 |
|
994 |
919 |
$861.71 |
| 84030 |
|
208 |
155 |
$854.69 |
| 92060 |
|
2,288 |
2,210 |
$815.29 |
| J2560 |
Phenobarbital sodium inj |
15 |
13 |
$806.00 |
| 82436 |
|
1,189 |
1,039 |
$798.59 |
| 90715 |
|
11,770 |
10,565 |
$795.54 |
| 86337 |
|
142 |
130 |
$793.00 |
| J1643 |
Inj heparin, pfizer, 1000u |
103 |
49 |
$788.93 |
| 85049 |
|
872 |
619 |
$774.18 |
| 85651 |
|
3,217 |
2,687 |
$747.80 |
| 89230 |
|
14 |
14 |
$744.51 |
| 12013 |
|
545 |
486 |
$730.57 |
| 82270 |
|
308 |
286 |
$705.97 |
| 94250 |
|
768 |
633 |
$704.67 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
136,051 |
93,970 |
$678.30 |
| 80180 |
|
231 |
205 |
$672.36 |
| 69200 |
|
707 |
652 |
$671.44 |
| 93922 |
|
13 |
12 |
$658.60 |
| 0003A |
|
31 |
18 |
$640.00 |
| 80074 |
|
296 |
217 |
$639.65 |
| 87305 |
|
1,970 |
1,010 |
$629.75 |
| 81241 |
|
966 |
836 |
$625.18 |
| 92597 |
|
14 |
12 |
$611.10 |
| 0111A |
|
39 |
17 |
$600.00 |
| 0053A |
|
33 |
17 |
$600.00 |
| 89050 |
|
1,941 |
1,395 |
$593.83 |
| 72114 |
|
59 |
55 |
$592.30 |
| 80195 |
|
439 |
229 |
$589.95 |
| 64643 |
|
1,154 |
1,062 |
$553.49 |
| 84075 |
|
376,761 |
293,031 |
$550.25 |
| 76942 |
|
4,846 |
4,414 |
$546.08 |
| 76380 |
|
12 |
12 |
$537.68 |
| 87207 |
|
729 |
658 |
$528.68 |
| 76776 |
|
17 |
14 |
$527.14 |
| 0051A |
|
31 |
16 |
$520.00 |
| 88173 |
|
1,679 |
1,487 |
$511.20 |
| 72200 |
|
30 |
25 |
$510.54 |
| 82180 |
|
223 |
203 |
$509.76 |
| 85250 |
|
238 |
215 |
$509.04 |
| 88313 |
|
4,222 |
3,576 |
$507.14 |
| 82731 |
|
21 |
16 |
$492.16 |
| 46600 |
|
148 |
137 |
$489.64 |
| 95012 |
|
11,697 |
10,162 |
$484.04 |
| 76872 |
|
62 |
56 |
$482.33 |
| 83529 |
|
104 |
98 |
$482.04 |
| 85270 |
|
228 |
215 |
$478.80 |
| 96376 |
|
35,475 |
22,437 |
$453.51 |
| 86382 |
|
16 |
16 |
$452.20 |
| 94727 |
|
12,945 |
9,182 |
$449.27 |
| 76999 |
|
13 |
13 |
$443.70 |
| 93282 |
|
286 |
258 |
$418.92 |
| 85247 |
|
113 |
107 |
$416.29 |
| 87147 |
|
393 |
368 |
$414.59 |
| 83037 |
|
6,721 |
6,358 |
$401.32 |
| 80050 |
|
787 |
570 |
$396.21 |
| 82075 |
|
8,069 |
5,634 |
$388.96 |
| 83918 |
|
83 |
74 |
$361.56 |
| 87880 |
|
4,518 |
4,229 |
$351.38 |
| 84238 |
|
116 |
90 |
$349.20 |
| 71111 |
|
15 |
13 |
$348.63 |
| 74328 |
|
557 |
503 |
$320.78 |
| 87641 |
|
1,531 |
1,332 |
$317.08 |
| 93226 |
|
5,746 |
5,341 |
$309.29 |
| 99152 |
|
12,021 |
10,654 |
$302.64 |
| 82595 |
|
106 |
96 |
$290.46 |
| 88182 |
|
707 |
609 |
$282.34 |
| 84182 |
|
46 |
27 |
$274.88 |
| J9181 |
Etoposide injection |
2,668 |
643 |
$269.04 |
| J9263 |
Oxaliplatin |
8,198 |
2,851 |
$266.00 |
| C1726 |
Cath, bal dil, non-vascular |
715 |
652 |
$263.84 |
| 76981 |
|
439 |
420 |
$245.22 |
| A9502 |
Tc99m tetrofosmin |
7,264 |
6,419 |
$235.68 |
| 87328 |
|
45 |
41 |
$229.00 |
| 82955 |
|
99 |
80 |
$212.75 |
| 90656 |
|
218 |
208 |
$211.75 |
| 81340 |
|
12 |
12 |
$199.51 |
| 81342 |
|
27 |
24 |
$192.43 |
| 99153 |
Mod sedat endo service >5yrs |
11,029 |
9,831 |
$191.98 |
| 76937 |
|
3,555 |
3,187 |
$191.96 |
| 81401 |
|
184 |
170 |
$191.80 |
| 93246 |
|
16 |
12 |
$191.13 |
| 51701 |
|
20 |
14 |
$189.24 |
| 17000 |
|
25 |
24 |
$182.77 |
| 93320 |
|
13,120 |
11,099 |
$174.00 |
| 84252 |
|
25 |
24 |
$166.80 |
| 82653 |
|
29 |
26 |
$160.68 |
| 82530 |
|
19 |
13 |
$159.60 |
| 94799 |
|
425 |
352 |
$157.23 |
| 81219 |
|
15 |
13 |
$155.38 |
| 84311 |
|
594 |
354 |
$153.64 |
| 81208 |
|
118 |
93 |
$153.60 |
| A9555 |
Rb82 rubidium |
2,779 |
2,491 |
$150.00 |
| 90471 |
|
5,353 |
4,601 |
$147.04 |
| 84155 |
|
357,405 |
279,067 |
$144.64 |
| 82365 |
|
193 |
170 |
$135.41 |
| 87350 |
|
40 |
38 |
$132.12 |
| 86747 |
|
216 |
104 |
$129.24 |
| 82375 |
|
267 |
228 |
$117.70 |
| J9045 |
Carboplatin injection |
11,638 |
4,538 |
$115.96 |
| J1805 |
Inj, esmolol hcl, 10mg |
900 |
453 |
$113.80 |
| 80069 |
|
140 |
119 |
$113.17 |
| 86707 |
|
38 |
36 |
$110.50 |
| 99407 |
|
413 |
332 |
$109.63 |
| 76376 |
|
11,309 |
10,248 |
$100.00 |
| 84540 |
|
247 |
220 |
$99.88 |
| 86774 |
|
89 |
80 |
$98.91 |
| 81257 |
|
128 |
114 |
$98.32 |
| 73565 |
|
13 |
13 |
$98.24 |
| 92583 |
|
605 |
563 |
$97.82 |
| 80047 |
|
964 |
738 |
$96.16 |
| 87899 |
|
68 |
65 |
$91.60 |
| 97130 |
|
201 |
62 |
$91.53 |
| 86684 |
|
29 |
28 |
$90.78 |
| 87176 |
|
282 |
193 |
$84.30 |
| 86778 |
|
121 |
98 |
$82.56 |
| 95886 |
|
4,618 |
4,333 |
$75.39 |
| J2785 |
Regadenoson injection |
7,331 |
6,647 |
$72.00 |
| 87593 |
|
46 |
25 |
$67.02 |
| 85670 |
|
67 |
65 |
$66.12 |
| J1790 |
Droperidol injection |
8,508 |
7,014 |
$65.86 |
| 93325 |
|
22,809 |
19,472 |
$65.60 |
| 80220 |
|
15 |
14 |
$65.40 |
| 80165 |
|
61 |
53 |
$63.74 |
| 11720 |
|
27 |
25 |
$62.69 |
| 84591 |
|
15 |
12 |
$61.68 |
| 82438 |
|
14 |
14 |
$54.36 |
| 88341 |
|
4,664 |
3,961 |
$50.74 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
6,673 |
4,573 |
$50.73 |
| 89055 |
|
42 |
39 |
$48.84 |
| 86060 |
|
12 |
12 |
$48.79 |
| J7120 |
Ringers lactate infusion |
109,218 |
90,319 |
$46.06 |
| 94760 |
|
28,875 |
25,185 |
$43.91 |
| 99211 |
|
13 |
12 |
$42.49 |
| 86687 |
|
156 |
117 |
$40.10 |
| 87181 |
|
94 |
83 |
$38.28 |
| 86790 |
|
53 |
41 |
$36.93 |
| J2270 |
Morphine sulfate injection |
41,398 |
29,822 |
$36.88 |
| 84466 |
|
35 |
32 |
$36.57 |
| J1885 |
Ketorolac tromethamine inj |
112,512 |
88,412 |
$36.49 |
| C1769 |
Guide wire |
7,215 |
6,341 |
$35.65 |
| 84597 |
|
16 |
12 |
$35.56 |
| 82042 |
|
35 |
26 |
$34.58 |
| 82657 |
|
13 |
12 |
$34.48 |
| 88302 |
|
522 |
477 |
$34.40 |
| 87430 |
|
303 |
299 |
$34.35 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
58,672 |
42,265 |
$32.02 |
| C2617 |
Stent, non-cor, tem w/o del |
1,903 |
1,685 |
$29.29 |
| 88240 |
|
205 |
171 |
$28.95 |
| 93356 |
|
3,678 |
3,211 |
$28.23 |
| J0696 |
Ceftriaxone sodium injection |
24,036 |
18,013 |
$26.65 |
| 87185 |
|
306 |
262 |
$26.10 |
| G0472 |
Hep c screen high risk/other |
1,201 |
1,125 |
$23.90 |
| S5553 |
Insulin long acting 5 u |
3,494 |
1,362 |
$23.02 |
| J1836 |
Inj, metronidazole, 10 mg |
788 |
530 |
$22.63 |
| 85305 |
|
15 |
13 |
$22.16 |
| J2405 |
Ondansetron hcl injection |
122,989 |
95,094 |
$21.85 |
| 85347 |
|
2,262 |
1,979 |
$20.35 |
| J2765 |
Metoclopramide hcl injection |
22,535 |
18,934 |
$19.52 |
| J1920 |
Inj, labetalol hcl, 5mg |
1,016 |
794 |
$18.12 |
| J2598 |
Inj, vasopressin, 1 unit |
200 |
137 |
$16.41 |
| J2930 |
Methylprednisolone injection |
10,446 |
7,760 |
$15.10 |
| J8597 |
Antiemetic drug oral nos |
9,639 |
7,966 |
$13.39 |
| 93291 |
|
32 |
25 |
$13.27 |
| 80162 |
|
27 |
24 |
$12.68 |
| G8979 |
Mobility goal status |
1,771 |
1,443 |
$12.60 |
| J0690 |
Cefazolin sodium injection |
43,605 |
32,434 |
$12.20 |
| J1030 |
Methylprednisolone 40 mg inj |
3,840 |
3,387 |
$12.07 |
| G8978 |
Mobility current status |
1,692 |
1,382 |
$11.97 |
| J1100 |
Dexamethasone sodium phos |
83,885 |
61,603 |
$11.81 |
| J3010 |
Fentanyl citrate injection |
98,263 |
76,206 |
$11.25 |
| 86635 |
|
17 |
12 |
$10.96 |
| J2250 |
Inj midazolam hydrochloride |
60,818 |
50,592 |
$10.73 |
| J3475 |
Inj magnesium sulfate |
17,413 |
10,877 |
$8.62 |
| G0008 |
Admin influenza virus vac |
2,473 |
2,348 |
$8.00 |
| J1939 |
Inj, bumetanide, 0.5 mg |
50 |
26 |
$7.68 |
| J0780 |
Prochlorperazine injection |
3,515 |
3,031 |
$6.91 |
| J2704 |
Inj, propofol, 10 mg |
5,908 |
4,470 |
$6.26 |
| J0131 |
Inj, acetaminophen (nos) |
36,690 |
29,654 |
$6.00 |
| J1200 |
Diphenhydramine hcl injectio |
17,239 |
12,581 |
$4.84 |
| J8499 |
Oral prescrip drug non chemo |
172 |
146 |
$4.08 |
| J7512 |
Prednisone ir or dr oral 1mg |
27,952 |
13,943 |
$3.97 |
| J1815 |
Insulin injection |
20,902 |
7,238 |
$3.90 |
| G0475 |
Hiv combination assay |
902 |
855 |
$3.87 |
| J9260 |
Inj methotrexate sodium 50mg |
1,198 |
701 |
$2.50 |
| C9113 |
Inj pantoprazole sodium, via |
3,846 |
1,802 |
$2.40 |
| J1650 |
Inj enoxaparin sodium |
36,525 |
14,836 |
$2.30 |
| G8980 |
Mobility d/c status |
334 |
289 |
$2.28 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
4,079 |
1,687 |
$2.12 |
| G8985 |
Carry goal status |
253 |
232 |
$2.08 |
| J2001 |
Lidocaine injection |
40,507 |
34,146 |
$2.07 |
| S0028 |
Injection, famotidine, 20 mg |
119 |
68 |
$2.00 |
| G8984 |
Carry current status |
215 |
197 |
$1.74 |
| Q0162 |
Ondansetron oral |
492 |
354 |
$1.50 |
| J8540 |
Oral dexamethasone |
21,710 |
9,574 |
$1.39 |
| J1644 |
Inj heparin sodium per 1000u |
31,714 |
12,423 |
$1.35 |
| 96368 |
|
6,918 |
4,073 |
$1.28 |
| J1953 |
Levetiracetam injection |
1,076 |
783 |
$1.25 |
| J9370 |
Vincristine sulfate 1 mg inj |
3,112 |
1,976 |
$1.25 |
| J7620 |
Albuterol ipratrop non-comp |
131 |
95 |
$1.00 |
| J3480 |
Inj potassium chloride |
4,874 |
2,749 |
$0.93 |
| G8988 |
Self care goal status |
132 |
112 |
$0.77 |
| G8987 |
Self care current status |
96 |
82 |
$0.57 |
| J1630 |
Haloperidol injection |
5,459 |
4,334 |
$0.48 |
| J7042 |
5% dextrose/normal saline |
3,072 |
2,288 |
$0.44 |
| J3030 |
Sumatriptan succinate / 6 mg |
176 |
140 |
$0.22 |
| G8997 |
Swallow goal status |
98 |
82 |
$0.20 |
| G8996 |
Swallow current status |
98 |
82 |
$0.20 |
| G8998 |
Swallow d/c status |
96 |
81 |
$0.18 |
| G8982 |
Body pos goal status |
15 |
14 |
$0.10 |
| G8981 |
Body pos current status |
15 |
14 |
$0.10 |
| Q0163 |
Diphenhydramine hcl 50mg |
686 |
523 |
$0.06 |
| J1170 |
Hydromorphone injection |
20,159 |
13,946 |
$0.03 |
| J2795 |
Ropivacaine hcl injection |
7,794 |
6,849 |
$0.00 |
| 95885 |
|
3,192 |
3,035 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
4,507 |
1,618 |
$0.00 |
| 64494 |
|
1,288 |
1,170 |
$0.00 |
| 51797 |
|
1,335 |
1,225 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
31,016 |
15,943 |
$0.00 |
| A9567 |
Technetium tc-99m aerosol |
97 |
76 |
$0.00 |
| J3471 |
Ovine, up to 999 usp units |
13 |
12 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
10,843 |
8,780 |
$0.00 |
| 36416 |
|
17,754 |
9,062 |
$0.00 |
| A9503 |
Tc99m medronate |
2,089 |
1,906 |
$0.00 |
| C1889 |
Implant/insert device, noc |
3,716 |
3,282 |
$0.00 |
| C1781 |
Mesh (implantable) |
1,459 |
1,330 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
11,103 |
8,525 |
$0.00 |
| J2700 |
Oxacillin sodium injeciton |
34 |
14 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
2,458 |
1,973 |
$0.00 |
| J2920 |
Methylprednisolone injection |
4,197 |
2,938 |
$0.00 |
| J1720 |
Hydrocortisone sodium succ i |
3,584 |
2,527 |
$0.00 |
| 99070 |
|
796 |
560 |
$0.00 |
| J0461 |
Atropine sulfate injection |
3,927 |
1,901 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
3,001 |
2,633 |
$0.00 |
| L8699 |
Prosthetic implant nos |
1,551 |
1,425 |
$0.00 |
| 77001 |
|
2,173 |
1,978 |
$0.00 |
| 64484 |
|
224 |
210 |
$0.00 |
| A9698 |
Non-rad contrast materialnoc |
1,280 |
1,209 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
389 |
375 |
$0.00 |
| 99156 |
|
147 |
134 |
$0.00 |
| J3420 |
Vitamin b12 injection |
9,461 |
7,341 |
$0.00 |
| 0482T |
|
711 |
628 |
$0.00 |
| J1940 |
Furosemide injection |
5,028 |
3,378 |
$0.00 |
| J2060 |
Lorazepam injection |
12,711 |
9,306 |
$0.00 |
| C1730 |
Cath, ep, 19 or few elect |
135 |
119 |
$0.00 |
| J7999 |
Compounded drug, noc |
11,255 |
9,243 |
$0.00 |
| 0399T |
|
214 |
191 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
6,858 |
5,669 |
$0.00 |
| Q0175 |
Perphenazine 4mg oral |
409 |
87 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
231 |
177 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
3,853 |
2,064 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
11,743 |
7,901 |
$0.00 |
| J9267 |
Paclitaxel injection |
12,941 |
3,809 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
2,876 |
2,365 |
$0.00 |
| 93788 |
|
273 |
247 |
$0.00 |
| A9540 |
Tc99m maa |
163 |
135 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
195 |
177 |
$0.00 |
| 88311 |
|
3,103 |
2,648 |
$0.00 |
| 87071 |
|
424 |
357 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
1,516 |
1,237 |
$0.00 |
| 91305 |
|
600 |
408 |
$0.00 |
| C1830 |
Power bone marrow bx needle |
82 |
75 |
$0.00 |
| J3360 |
Diazepam injection |
1,468 |
1,177 |
$0.00 |
| 76377 |
|
2,837 |
2,561 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
916 |
800 |
$0.00 |
| J0697 |
Sterile cefuroxime injection |
979 |
790 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
2,630 |
1,698 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
982 |
887 |
$0.00 |
| C1819 |
Tissue localization-excision |
500 |
451 |
$0.00 |
| C1759 |
Cath, intra echocardiography |
17 |
14 |
$0.00 |
| J7050 |
Normal saline solution infus |
33,250 |
20,331 |
$0.00 |
| 64488 |
|
58 |
52 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
231 |
114 |
$0.00 |
| J9250 |
Methotrexate sodium inj |
648 |
285 |
$0.00 |
| 88331 |
|
646 |
556 |
$0.00 |
| A4648 |
Implantable tissue marker |
1,593 |
1,399 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
489 |
315 |
$0.00 |
| 84260 |
|
14 |
13 |
$0.00 |
| 81000 |
|
123 |
117 |
$0.00 |
| 81511 |
|
121 |
109 |
$0.00 |
| J7060 |
5% dextrose/water |
437 |
234 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
29 |
26 |
$0.00 |
| C1732 |
Cath, ep, diag/abl, 3d/vect |
31 |
27 |
$0.00 |
| 99406 |
|
15 |
13 |
$0.00 |
| 91307 |
|
447 |
435 |
$0.00 |
| C1778 |
Lead, neurostimulator |
31 |
27 |
$0.00 |
| 91303 |
|
1,835 |
868 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
752 |
683 |
$0.00 |
| J0173 |
Inj, epinephrine (belcher) |
43 |
37 |
$0.00 |
| 51600 |
|
323 |
301 |
$0.00 |
| 82810 |
|
16 |
13 |
$0.00 |
| 88348 |
|
25 |
24 |
$0.00 |
| C1753 |
Cath, intravas ultrasound |
83 |
70 |
$0.00 |
| 93290 |
|
13 |
12 |
$0.00 |
| 77417 |
|
51 |
27 |
$0.00 |
| C1886 |
Catheter, ablation |
87 |
84 |
$0.00 |
| 11045 |
|
19 |
13 |
$0.00 |
| 91301 |
|
7,843 |
7,235 |
$0.00 |
| 88150 |
|
13 |
12 |
$0.00 |
| 49424 |
|
74 |
54 |
$0.00 |
| J2790 |
Rho d immune globulin inj |
168 |
142 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
16 |
14 |
$0.00 |
| 43273 |
|
26 |
24 |
$0.00 |
| Q0164 |
Prochlorperazine maleate 5mg |
41 |
39 |
$0.00 |
| 61782 |
|
45 |
40 |
$0.00 |
| 36247 |
|
17 |
15 |
$0.00 |
| 30901 |
|
85 |
82 |
$0.00 |
| J2791 |
Rhophylac injection |
84 |
74 |
$0.00 |
| A9585 |
Gadobutrol injection |
17 |
16 |
$0.00 |
| 81255 |
|
31 |
27 |
$0.00 |
| J0713 |
Inj ceftazidime per 500 mg |
37 |
14 |
$0.00 |
| C1766 |
Intro/sheath,strble,non-peel |
45 |
37 |
$0.00 |
| 82360 |
|
30 |
26 |
$0.00 |
| J7507 |
Tacrolimus imme rel oral 1mg |
32 |
12 |
$0.00 |
| 11730 |
|
13 |
13 |
$0.00 |
| J2404 |
Inj, nicardipine 0.1 mg |
24 |
13 |
$0.00 |
| C2625 |
Stent, non-cor, tem w/del sy |
516 |
461 |
$0.00 |
| 78434 |
|
1,890 |
1,715 |
$0.00 |
| J9201 |
In gemcitabine hcl nos 200mg |
6,130 |
1,993 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
9,105 |
8,115 |
$0.00 |
| A9552 |
F18 fdg |
6,515 |
5,907 |
$0.00 |
| 93321 |
|
4,223 |
3,770 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
3,453 |
3,301 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
6,858 |
5,921 |
$0.00 |
| J1756 |
Iron sucrose injection |
10,613 |
4,079 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
4,792 |
4,218 |
$0.00 |
| 00170 |
|
30 |
27 |
$0.00 |
| 92978 |
|
53 |
41 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
1,078 |
704 |
$0.00 |
| J9206 |
Irinotecan injection |
5,638 |
2,063 |
$0.00 |
| J9999 |
Chemotherapy drug |
2,746 |
1,099 |
$0.00 |
| 58340 |
|
272 |
255 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
1,927 |
1,538 |
$0.00 |
| 77002 |
|
3,992 |
3,620 |
$0.00 |
| 95874 |
|
676 |
602 |
$0.00 |
| J9060 |
Cisplatin 10 mg injection |
3,755 |
1,244 |
$0.00 |
| 94729 |
|
15,457 |
10,922 |
$0.00 |
| J1071 |
Inj testosterone cypionate |
778 |
374 |
$0.00 |
| 99177 |
|
573 |
546 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
1,571 |
1,413 |
$0.00 |
| C1760 |
Closure dev, vasc |
2,083 |
1,843 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
5,895 |
5,359 |
$0.00 |
| J9190 |
Fluorouracil injection |
17,356 |
4,786 |
$0.00 |
| 88312 |
|
1,954 |
1,756 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
521 |
473 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
879 |
758 |
$0.00 |
| J1240 |
Dimenhydrinate injection |
2,927 |
2,486 |
$0.00 |
| J7040 |
Normal saline solution infus |
13,062 |
8,080 |
$0.00 |
| 75565 |
|
2,185 |
1,991 |
$0.00 |
| G1004 |
Cdsm ndsc |
33,848 |
19,704 |
$0.00 |
| 76827 |
|
5,047 |
4,330 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
9,532 |
3,953 |
$0.00 |
| C1788 |
Port, indwelling, imp |
1,390 |
1,267 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
9,119 |
8,241 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
3,336 |
2,874 |
$0.00 |
| 77387 |
|
4,703 |
545 |
$0.00 |
| Q9954 |
Oral mr contrast, 100 ml |
8,079 |
6,471 |
$0.00 |
| C1782 |
Morcellator |
102 |
96 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
1,361 |
1,105 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
1,861 |
1,578 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
214 |
201 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
6,763 |
4,115 |
$0.00 |
| C1776 |
Joint device (implantable) |
1,177 |
1,070 |
$0.00 |
| 99151 |
|
1,107 |
1,009 |
$0.00 |
| J9000 |
Doxorubicin hcl injection |
3,903 |
1,623 |
$0.00 |
| J3473 |
Hyaluronidase recombinant |
655 |
613 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,000 |
1,756 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
548 |
460 |
$0.00 |
| 81243 |
|
43 |
38 |
$0.00 |
| C1887 |
Catheter, guiding |
1,814 |
1,611 |
$0.00 |
| 77012 |
|
2,017 |
1,725 |
$0.00 |
| 86904 |
|
175 |
152 |
$0.00 |
| 88344 |
|
65 |
56 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
129 |
93 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
1,046 |
938 |
$0.00 |
| A4222 |
Infusion supplies with pump |
6,003 |
3,351 |
$0.00 |
| 99173 |
|
1,038 |
991 |
$0.00 |
| 92504 |
|
465 |
426 |
$0.00 |
| C1729 |
Cath, drainage |
1,389 |
1,157 |
$0.00 |
| 90461 |
|
5,657 |
5,390 |
$0.00 |
| Q9956 |
Inj octafluoropropane mic,ml |
350 |
335 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
393 |
229 |
$0.00 |
| C1758 |
Catheter, ureteral |
1,289 |
1,071 |
$0.00 |
| A9520 |
Tc99 tilmanocept diag 0.5mci |
45 |
37 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
221 |
188 |
$0.00 |
| 91300 |
|
30,594 |
25,466 |
$0.00 |
| J3260 |
Tobramycin sulfate injection |
938 |
764 |
$0.00 |
| J7030 |
Normal saline solution infus |
39,961 |
29,509 |
$0.00 |
| 81420 |
|
388 |
367 |
$0.00 |
| 81403 |
|
73 |
61 |
$0.00 |
| 75571 |
|
12 |
12 |
$0.00 |
| 16020 |
|
43 |
39 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
15 |
12 |
$0.00 |
| 92015 |
|
390 |
377 |
$0.00 |
| 77003 |
|
15 |
14 |
$0.00 |
| 81406 |
|
80 |
71 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
1,664 |
1,306 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
432 |
349 |
$0.00 |
| 76001 |
|
136 |
115 |
$0.00 |
| 62322 |
|
46 |
44 |
$0.00 |
| 81404 |
|
79 |
69 |
$0.00 |
| 91312 |
|
219 |
199 |
$0.00 |
| 88381 |
|
139 |
104 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
567 |
416 |
$0.00 |
| 99442 |
|
213 |
161 |
$0.00 |
| 80143 |
|
139 |
117 |
$0.00 |
| 95887 |
|
38 |
38 |
$0.00 |
| 64495 |
|
50 |
43 |
$0.00 |
| 64636 |
|
13 |
12 |
$0.00 |
| 90648 |
|
28 |
24 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
16 |
16 |
$0.00 |
| 92134 |
|
14 |
14 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
43 |
29 |
$0.00 |
| 90653 |
|
172 |
168 |
$0.00 |
| 95018 |
|
33 |
27 |
$0.00 |
| J7517 |
Mycophenolate mofetil oral |
105 |
42 |
$0.00 |
| C1762 |
Conn tiss, human(inc fascia) |
16 |
12 |
$0.00 |
| 91311 |
|
44 |
34 |
$0.00 |
| J0882 |
Darbepoetin alfa, esrd use |
17 |
12 |
$0.00 |
| 99157 |
|
53 |
51 |
$0.00 |
| 75774 |
|
12 |
12 |
$0.00 |
| 81422 |
|
40 |
38 |
$0.00 |
| 69209 |
|
14 |
12 |
$0.00 |
| 93613 |
|
17 |
14 |
$0.00 |
| C1876 |
Stent, non-coa/non-cov w/del |
16 |
13 |
$0.00 |